Health Reform WK-EDGE Final rule updates ACA risk adjustment, cost sharing, and consumer choice
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Tuesday, January 10, 2017

Final rule updates ACA risk adjustment, cost sharing, and consumer choice

Updates to payment parameters and other provisions of the risk adjustment program of the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148) are designed to improve the ability of risk models to estimate risk for qualified health plan (QHP) issuers. In addition to taking steps to improve the risk adjustment program of the ACA, a new HHS Final rule makes adjustments to ACA cost-sharing parameters and makes amendments intended to increase consumer choice in the QHPs offered on ACA exchanges. The regulations are effective January 17, 2017 (Final rule, 81 FR 94058, December 22, 2016).

See previous coverage Final rule updates ACA risk adjustment, cost sharing, and consumer choice for additional information.

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